Skyline Education Services UAE
Total des années d'expérience :6 years, 6 Mois
Underwent training in CPC Certification Preparation (80 hours); ICD-10-CM, CPT 2019, HCPCS and Anatomy
Key Deliverables in Medical Insurance Coordinator and medical coder, title:
Responsible for obtaining different insurance approvals mainly Daman basic, enhanced and Thiqa for the
laboratory test requests, by entering the required medical data and applicable CPT codes.
Effective screening of an insurance claim form.
Ensuring the proper entry of ICD-10-CM (diagnosis) codes for the various Lab tests requested.
Ensuring the minimal rejection rate due to incorrect or insufficient diagnosis.
Knowledge about the denial codes and its interpretation.
Effective communication with the medical staff (clients) regarding queries in insurance claims.
E-claim submissions in Shafafia post office (HAAD) through Green rain messenger.
Conducting presentations on Denial codes, ICD-10-CM contradicting codes and on effective screening of an
insurance claim for total approval.
Establishing and maintaining good clinical data collection practices to ensure validity of insurance claims.
Highlights:
Critically reviewed the ICD-10-CM diagnosis codes entered in the insurance claim form for the approval of
requested lab tests for the patients.
Conducted presentations on Denial codes, ICD-10-CM contradicting codes and on effective screening of an
insurance claim for its total approval.
Successfully submitted clinical study reports according to the respective guidelines within the sponsor specified
time frame.
Successfully coordinated with the Principal and sub-investigators, screening team, sample collectors, IP handling
personnel and QA-QC personnel for Phase I BA/BE studies.
Efficiently reviewed credibility, transparency and completeness of ICFs, CRFs, IP Dispensing form, Blood sample
collection records, Adverse event reports and timely submitted all necessary documents for QA-QC review.
Efficiently performed Phase I Glioma study involving collection of samples from potential subjects and Phase III
Underwent training in Environmental Monitoring of Biosafety cabinet, Sample preparation for HPLC, Tests for
Analysis of sugar, phosphate and nitrogen, Water testing, Aseptic handling of cultures, etc.
courses: Certified Professional Coder- Apprentice, AAPC-2019 (Membership ID:01700109) Exam score
courses: Topper).
Certificate program in